Paratuberculosis is an infectious disease caused by subspecies (MAP). Typically, ruminant animals including cattle, buffalo, goats, and sheep are infected with MAP. Animals get infected with MAP in a number of ways, such as by eating or drinking contaminated food or water, or by nursing from an infected mother who may have contaminated teats or directly shed the organism in milk or colostrum. Animal-derived goods like meat, dairy, and tainted surface water have the potential to spread paratuberculosis through zoonotic transmission. Reports of paratuberculosis have been received from United States, Oceania, Asia, and Africa, in addition to several European nations like Germany, Italy, and France. Paratuberculosis pathology is characterized by chronic lymphangitis, chronic enteritis, or mesenteric lymphadenopathy. In animals, wasting and watery green diarrhea are the major signs. There are two kinds of paratuberculosis diagnostic tests that are available; the goal of the first set of tests is to identify MAP while the second set consists of immunological tests. Due to similar clinical signs, some forms of the illness, such as wasting and watery green diarrhea, may be mistaken for paratuberculosis. Crohn's disease has been linked to subsp. as the etiological culprit in humans. To prevent the infection from spreading to uninfected animal populations, drastic measures must be implemented. Despite the economic burden of paratuberculosis, research aimed at developing therapeutic medicines is focused on public health rather than veterinary uses. This review therefore focuses on a comprehensive detail of paratuberculosis in animals, including its public health implications and economic impact.
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http://dx.doi.org/10.5455/OVJ.2024.v14.i11.2 | DOI Listing |
Background And Aims: Metabolic dysfunction-associated steatotic liver disease (MASLD) and its more severe subtype, metabolic dysfunction-associated steatohepatitis (MASH), are highly prevalent and strongly associated with obesity and type 2 diabetes (T2D). This study sought to identify challenges to the diagnosis, treatment and management of people living with MASLD and MASH and understand the key barriers to adopting relevant clinical guidelines.
Methods: A real-world, cross-sectional study (BARRIERS-MASLD) consisting of a quantitative survey and qualitative interviews of physicians in France, Germany, Italy, Spain and the United Kingdom was conducted from March to September 2023.
JMIR Pediatr Parent
January 2025
General Practice/Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Background: Mental health problems among adolescents are increasing, and internet-delivered acceptance and commitment therapy (iACT) constitutes a possible way to improve access to care while reducing costs. Nevertheless, few studies have investigated iACT for adolescents in regular primary care nor the role of parental support.
Objective: This is an exploratory evaluation investigating iACT, with or without parental support, for adolescents.
J Med Internet Res
January 2025
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, United States.
Background: Twitter (subsequently rebranded as X) is acknowledged by US health agencies, including the US Centers for Disease Control and Prevention (CDC), as an important public health communication tool. However, there is a lack of data describing its use by state health agencies over time. This knowledge is important amid a changing social media landscape in the wake of the COVID-19 pandemic.
View Article and Find Full Text PDFJAMA Health Forum
January 2025
Editor, JAMA Health Forum.
JAMA Health Forum
January 2025
Department of Health Policy and Management, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania.
Importance: 2021 Advance child tax credit (ACTC) monthly payments were associated with reduced US child poverty rates; however, policymakers have expressed concerns that permanent adoption would increase parental substance use.
Objective: To assess whether 2021 ACTC monthly payments were temporally associated with changes in substance use among parents compared with adults without children.
Design, Setting, And Participants: The primary sample included adults aged 18 to 64 years who responded to the National Survey on Drug Use and Health in 2021.
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